Individual provider · Type 1 NPI
Cheryl M. Moore, PT
Pediatric Physical Therapist · Ithaca, NY
Practice location
3226 Wilkins Rd
Ithaca, NY 14850-9568
Mailing address
49 Caroline Depot Rd
Brooktondale, NY 14817-9797
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 004295-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1679791511
Cheryl M. Moore, PT's National Provider Identifier is 1679791511, issued on Apr 24, 2007. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Ithaca, NY. The record was last updated on Jul 8, 2007.